Lee Jae Hoon, Baek Jong Hun, Lee Jung Seok
Department of Orthopedic Surgery, College of Medicine, Kyung Hee University, Seoul, Korea.
Department of Orthopedic Surgery, College of Medicine, Kyung Hee University, Seoul, Korea.
J Hand Surg Am. 2017 Jan;42(1):e61-e65. doi: 10.1016/j.jhsa.2016.10.008. Epub 2016 Nov 14.
Subluxation of the extensor tendon results from a disruption to the sagittal band at the metacarpophalangeal joint. When conservative treatment fails to correct the subluxation, surgical treatment may be necessary. Surgical techniques for chronic cases vary in graft source and graft pathway. We present a surgical technique to recentralize and stabilize the extensor tendon using a residual ruptured sagittal band. This technique is simple and effective without donor site morbidity and seems to provide potential biomechanical advantages by restoring nearly normal anatomy.
伸肌腱半脱位是由掌指关节处矢状带断裂引起的。当保守治疗无法纠正半脱位时，可能需要进行手术治疗。慢性病例的手术技术在移植物来源和移植物路径方面有所不同。我们提出一种利用残留的破裂矢状带来使伸肌腱复位并稳定的手术技术。该技术简单有效，无供区并发症，通过恢复近乎正常的解剖结构似乎提供了潜在的生物力学优势。
